MS. KIMBRO HENSON BURNETT (NPI# 1255867164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255867164 |
| Entity Type | Individual |
| Full Name | MS. KIMBRO HENSON BURNETT |
| Credential | LPC |
| Practice Address |
2655 Dallas Hwy Sw Suite 310 Marietta GA 30064-2597 |
| Mailing Address |
3600 Dallas Hwy Sw Suite 230-206 Marietta GA 30064-1675 |
| Practice Telephone | 6789191202 |
| Mailing Telephone | 4049669786 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC003909 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2655 DALLAS HWY SW SUITE 310 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740212240 | Mohsin M. Hisamuddin | Internal Medicine | 2655 Dallas Hwy Sw, Suite 340, Marietta, GA 30064-2597 | 2006-07-06 |
| 1790219103 | Ps Dds | Dentist | 2655 Dallas Hwy Sw, 510, Marietta, GA 30064-2597 | 2017-04-13 |
| 1851765994 | Tara Haynes Jiminez | Counselor | 2655 Dallas Hwy Sw, Suite 520, Marietta, GA 30064-2597 | 2015-11-29 |
| 1134500598 | Heidi Zaffos | Counselor | 2655 Dallas Hwy Sw, Suite 240, Marietta, GA 30064-2597 | 2015-06-11 |
| 1811323488 | Jordan Kendrick Simmons Gilligan | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-7579 | 2013-09-16 |
| 1730427063 | Mark Ellison | Marriage & Family Therapist | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2013-01-22 |
| 1003183492 | Teresa Cress | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2011-11-29 |
| 1518243724 | Christina Ann Hunt | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-2597 | 2011-11-01 |
| 1861799629 | William Edward Adams | Counselor | 2655 Dallas Hwy Sw, Suite 610, Marietta, GA 30064-2597 | 2011-02-14 |
| 1063717197 | Patrice Eustache Jucks | Counselor | 2655 Dallas Hwy Sw, Ste 530, Marietta, GA 30064-2597 | 2011-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987238 | Kimberly Wallace Lpc LLC | Counselor | 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5686 | 2020-09-19 |
| 1073128609 | Alyssa May Rodriguez | Counselor | 2064 S Cove Trl, Marietta, GA 30066-1922 | 2020-09-10 |
| 1225642374 | April G Lewis | Counselor | 1640 Powers Ferry Rd Se Bldg 20, Marietta, GA 30067-5491 | 2020-09-06 |
| 1336751890 | Brandi Lynne Neogra | Counselor | 207 Colegate Dr Ste D, Marietta, OH 45750-2363 | 2020-08-17 |
| 1427672575 | Monique T Jones | Counselor | 2480 Windy Hill Rd Se Ste 105, Marietta, GA 30067-8608 | 2020-06-04 |
| 1588288864 | Patrick Wilson | Counselor | 1744 Roswell Rd Ste 102, Marietta, GA 30062-3979 | 2020-06-03 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1851928857 | Patricia Li Zerman | Counselor | 1373 Old Virginia Ct Se, Marietta, GA 30067-8461 | 2020-03-27 |
| 1467089227 | Catherine Ibarra | Counselor | 1640 Powers Ferry Rd Se # 300, Marietta, GA 30067-5491 | 2020-03-23 |
| 1306487970 | Brooke Lopes | Counselor | 2655 Dallas Hwy Sw Ste 230, Marietta, GA 30064-2597 | 2019-10-03 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.